| NPI | 1922638196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12126) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP10014) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2023-11-15 |